Registration

Student Name:
Age:
Parent Name:
Phone Number:
Email Address:
List the Class(es) you are registering for:
List the Adult Class(es) you are registering for:
How did you hear about Lisa's Dance Spot?
By clicking SUBMIT, I understand that I am responsible for the above registered student’s tuition/camp fees, to be paid by the 1st of each month. If fees are not paid by the 8th of each month, I understand that I will be assessed a $15 per month late fee charge, due and payable when tuition/camp fees are paid. I understand that there is an annual registration fee which registers the above student for class. I understand that I must notify LDS in writing if the student withdraws from the program. I understand that there is a $35 returned check fee if my check is returned for any reason. I understand that above student can be moved to a different class or removed from class at the instructor/owner discretion if student imposes a detriment to the rest of the class participants. I, the undersigned parent or legal guardian of the dancer(s) listed above, do hereby give permission for the aforementioned persons to participate in any and all classes, practice, programs, shows, and events offered by or attended by LISA’S DANCE SPOT. I accept all risks associated with that participation and understand that there is a full possibility of serious physical injury or illness. I hereby covenant not to sue and waive, release and forever discharge any and all rights, claims for damages, which may arise now or in the future against LISA’S DANCE SPOT and it’s officers, owners, directors, employees and/or other assigned representatives or volunteers from any and all liability and for any and all damages and/or injuries which may be sustained or suffered by the dancer(s) listed above while participating at or for LISA’S DANCE SPOT. Furthermore, I hereby give my permission to LISA’S DANCE SPOT to use photographs and/or videos of the dancer(s) listed above as deemed appropriate for the promotion of LISA’S DANCE SPOT. By Clicking Submit, I am indicating that have read, understand, and will abide by all general rules, regulations and policies that are set forth by LISA’S DANCE SPOT and its owners, employees, and directors and any additional rules or requirements as set forth throughout the year.